Genesis Medical Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GENESIS MEDICAL TRANSPORTATION, LLC

Practice address

23150 65TH St E
Buckley, WA 98321-7523

Phone

(253) 455-4192

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Earl Amble

Title

Owner/ President

Phone

(253) 455-4192

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1922875012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23150 65TH ST E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983217523",
            "telephone_number": "253-455-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23150 65TH ST E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983217523",
            "telephone_number": "253-455-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "AMBLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "253-455-4192"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Entrop, LPN
• Polly Frances Fields, LMFT
• Courtney C Forthuber
• Blake Benjamin Galaviz, EMT
• Theresa J Gallagher, LMP
• Yvonne Glass-Singer, LSWAIC
• Marianne G Goble, MA, LMHC, LPC
• Kari N Hanson, LMP
• Hope Elizabeth Healey, MS OTR-L
• Healing and Empowering Life Coaching and Psychological Service

• Non-emergency Medical Transport (VAN) in Buckley, WA
• Providers in Buckley, WA by specialty
• Non-emergency Medical Transport (VAN) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.